Q: Dr. Epsy, previously I had a chin reduction surgery, which left my chin too short and pointed, especially when I smile. To temporarily improve it, I had a fat and fill graft placed in my chin area about 2 years ago. While that helped a little, my chin still looks short and feels unnatural, and I would like to restore its original form through reverse geniioplasty or a personalized chin implant, addressing what you think is better.
A: To restore the form of the chin after a reduction made by a bone genioplasty in the form of T, there are two options:
1) Recute the chin bone to shorten it and expand (it was narrow due to a central wedge if the extraction of bones and extends a little more), which will need at least one graft of cadaveric bone to do it.
ORPÍN
2) Personalized chin implant
If you observe the necessary dimensional changes (wider and shorter), it would go to doe #1 is more appropriate, an implant cannot make the chin shorter only wider.
Dr. Barry Eppley
World renowned plastic surgeon
